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Am J Orthopsychiatry. 2011 Oct;81(4):543-51. doi: 10.1111/j.1939-0025.2011.01125.x.

Meeting the mental health needs of low-income immigrants in primary care: a community adaptation of an evidence-based model.

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Georgetown University Medical Center, 2115 Wisconsin Avenue NW, Washington, DC 20007, USA.


Low-income, uninsured immigrants are burdened by poverty and a high prevalence of trauma exposure and thus are vulnerable to mental health problems. Disparities in access to mental health services highlight the importance of adapting evidence-based interventions in primary care settings that serve this population. In 2005, the Montgomery Cares Behavioral Health Program began adapting and implementing a collaborative care model for the treatment of depression and anxiety disorders in a network of primary care clinics that serve low-income, uninsured residents of Montgomery County, Maryland, the majority of whom are immigrants. In its 6th year now, the program has generated much needed knowledge about the adaptation of this evidence-based model. The current article describes the adaptations to the traditional collaborative care model that were necessitated by patient characteristics and the clinic environment.

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